Organization Active NPI

Little Silver Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Little Silver, NJ
National Provider Identifier
1376618355
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00576500 Issued in NJ
Legal business name
LITTLE SILVER FAMILY PHARMACY LLC
Practice address
10 Church St
Little Silver, NJ 07739-1440
Phone
(732) 741-1121
Fax
(732) 224-0107
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew J Parisi, RPH
Title
Owner
Phone
(732) 741-1121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4470640001 NJ
Community/Retail Pharmacy 3336C0003X 28RS00576500 NJ Primary

Addresses

Primary practice location

10 Church St
Little Silver, NJ 07739-1440

Mailing address

10 Church St
Little Silver, NJ 07739-1440
Phone (732) 741-1121

Other identifiers 3

IdentifierTypeStateIssuer
8055203MedicaidNJ
3110993OtherNJNABP
8055211OtherNJMEDICAID DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930033786 NJ DME Supplier - Pharmacy 6002029741 1 other NPI on this enrollment
Practice locations: Little Silver, NJ
O20150914001861 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 6002029741 Practice locations: Little Silver, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1376618355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHURCH ST",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391440",
            "telephone_number": "732-741-1121",
            "fax_number": "732-224-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHURCH ST",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391440",
            "telephone_number": "732-741-1121",
            "fax_number": "732-224-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SILVER FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "PARISI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-741-1121",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "4470640001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00576500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8055203",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3110993",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "8055211",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.